# MANDI LYNN HAGELINE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588343818
- **Gender:** F
- **Credential:** PMHNP, MSN, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 041392703 | IL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 209028229 | IL | Yes |

## Other

- **Enumeration date:** 07/13/2023
- **Last updated:** 12/18/2023